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@jlharsh We have gone to his PCP with photos of the clots and he mentioned it was possibly allergies or the dry air of the CPAP that was causing these clots. The doctor said “moistening” the nose should diminish the clots. He was first put on saline spray for a month, the bleeding continued daily with dime-sized clots so he was put on Fluticasone and Cetirizine. In the recent few days the clots are becoming more frequent and bigger in size and sometimes blood just start dripping from his nose. I would figure that the spray/pill would alleviate either the frequency or the size of clots but it seems to be getting worse.

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Replies to "@jlharsh We have gone to his PCP with photos of the clots and he mentioned it..."

@jag1203 It is difficult to maintain a balanced perspective walking through concerning troubleshooting/treatment processes and you are doing such a great job. Kudos!

If I understand correctly you are concerned because you expected treatment your husbands doctor recommended to have the opposite effect that it has, to decrease or possibly eliminate clots of blood from his nose. It is difficult to know if this is a problem or part of the process.

I wish I could solve your problem. I can tell you I used a saline nasal rinse for a time. That was replaced by Flonase (Fluticasone steroid nose spray) and I was told it would take a good 6 weeks for it to kick in. Then, instead of an antihistamine pill like Cetirizine I added antihistamine eye drops. I was concerned when I started having blood in my nose and eventually, clots like you describe. What I could tell was that the bleeding would fluctuate depending on what was going on elsewhere in my body. I don’t necessarily understand it but I have kept working with my doctor(s) and am doing much better.

I pulled up an overview about nosebleeds that you may want to take a look at if you haven’t already. It may help to review common causes to help you know if your husbands doctor is on a diagnostic/treatment path you are comfortable with. Also, clicking through to the next page there is a section about talking to your doctor. Specifically, “Talk to your doctor if you're having frequent nosebleeds, even if you can stop them fairly easily. It's important to determine the cause of frequent nosebleeds.”
- Mayo Clinic Nosebleed Basics: https://www.mayoclinic.org/symptoms/nosebleeds/basics/causes/sym-20050914

Is there anything your husband has tried that helps his nosebleeds? Do you think you will visit with his doctor to discuss the increased bleeding that is happening since starting the prescribed treatment?